| NPI | 1801242771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW127652) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW103985) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-05-22 |